CREATE A PROFILE: Step One
Please provide us with key information to get you started.

Current Company Name:

NOTE: If 2 or more People will be testing,be sure to fill in the Co. Name.
You can then add them to the Tester Group all at once.

* Your Name:

(First)(Last)

* Phone:

will auto format

Cell Phone:

will auto format

* Valid Email:

This will become your login ID

* Address:
Address City State and ZIP

(Street Address)

(City)

(ST and Zip Code)

If instructed, please enter your Affiliate Number Here:

NOTE: For Registered Affiliate users only

What's Next?
• Just a little more information is required before you begin your class
After completing this page, you will be taken to
Step 2 where you can select the Certificate type,
provide your own password and similar information.

All information provided from this page or site is considered private and confidential. We will not distribute your data or use it for any purpose other than
to provide you services from forkliftcertify.com.